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NPI Code Detail

MEDICARE: BEVERLY LOUISE BUCHERT RPH

MEDICARE: BEVERLY LOUISE BUCHERT RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202006856VA

General Provider Information

NPI Number : 1548572829
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY LOUISE BUCHERT RPH
Provider Business Mailing Address
First Line : 4245 HOLLAND RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-1904
Country : US
Telephone Number : 757-474-2289
Fax Number : 757-474-4219
Provider Business Practice Location Address
First Line : 4245 HOLLAND RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-1904
Country : US
Telephone Number : 757-474-2289
Fax Number : 757-474-4219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2010
Last Update Date : 07/02/2010

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Directions to “ BEVERLY LOUISE BUCHERT RPH” Practice Location

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